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We are seeking a clinical professional responsible for facilitating admissions, clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resources utilization.
Job Responsibility:
Respond to inquiries about the facility within facility policy timeframes
Ability to develop therapeutic relationships with patients and families
Perform benefit eligibility to ensure patient benefits are active at the time of admission
Communicate benefit eligibility to the business office and the patient or significant other
Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations regarding pending referrals
Coordinate admission and transfer from referral sources and between levels of care within the facility
Maintain knowledge of milieu management
Communicate projected admissions to designated internal representatives promptly
Ensure all clinical information from referral sources or patient (including medical comorbidity information) is received, when possible, prior to patient admission
Schedule (when applicable) and complete pre-admission assessments, consult with the admitting physician, and communicate disposition recommendations to patient or their family
Possess skill in preparing and maintaining appropriate medical record documentation that will result in authorization at the level of care being requested of the payor
Complete initial pre-authorization for treatment and admission prior to admission, when possible, and within payor timeframe guidelines
Admit patient in the registration and accounting system
Complete all admission and consent forms with the patient
Demonstrate a positive, empathetic and professional attitude towards customers always
When patient needs are not met, acknowledge and work to resolve complaints
Recognize that patient safety is a top priority
Coordinate care for patients who are not being admitted and ensure that they receive appropriate follow-up care and referrals
Demonstrate a sense of urgency related to the importance of patient safety and provide excellent customer service
Responsible for conducting safety checks and ensuring that supervision is conducted at 15-minute intervals, as noted in special precautions, or by individualized supervision guidelines as needed
Perform other functions and tasks as assigned
Requirements:
Master's degree in a social services field (psychology, counseling, social work, sociology, health administration, nursing) or RN preferred
One or more years’ experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred
Current licensure, as required for the area of clinical specialty, i.e., current RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates
CPR and de-escalation/restraint certification required (training available upon hire and offered by facility)
First aid may be required based on state or facility